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Red flag reviews audit – CMH Internal Medicine (previous results)

Date Site of audit Number of entries submitted Patient identifiers present? Dated? Is the entry legible? Is it clear what has been requested? Is there evidence from Red Flag file that this was done? Is there evidence in the notes that the patient was seen? Is there evidence in the notes that the requested issue was addressed? Was the reason for the flag to check blood results? Was there a request to check the patient’s clinical condition? Was there a request to check on radiological investigations? Anything else observed?
20/02/2025 CMH Wards 10 Yes:8
No:2 		Yes:10
No:0 		Completely legible:10
Some parts not legible but understandable:0
Completely illegible:0 		Yes:10
No:0 		Yes:8
No:2 		Yes:7
No:3 		Yes:7
No:3 		Yes:4
No:6 		Yes:8
No:2 		Yes:1
No:9
05/12/2024 CMH MOPD 10 Yes:10
No:0 		Yes:10
No:0 		Completely legible:10
Some parts not legible but understandable:0
Completely illegible:0 		Yes:7
No:3 		Yes:9
No:1 		Yes:8
No:2 		Yes:9
No:1 		Yes:1
No:9 		Yes:1
No:9 		Yes:0
No:10 		Sticker placed in file and blood results recorded implying issue was addressed but no red flag note in file, Use of unfamiliar abbreviations
30/07/2024 CMH Wards 10 Yes:10
No:0 		Yes:10
No:0 		Completely legible:10
Some parts not legible but understandable:0
Completely illegible:0 		Yes:9
No:1 		Yes:6
No:4 		Yes:6
No:4 		Yes:6
No:4 		Yes:2
No:8 		Yes:10
No:0 		Yes:0
No:10 		According to clinical notes, fluids were to be checked later to ensure it was given however no follow up note / entry, thus unsure whether fluids were actually checked., According to clinical notes, fluids were to be checked later to ensure it was given however no follow up note / entry, thus unsure whether fluids were actually checked.
04/02/2024 CMH Wards 16 Yes:15
No:1 		Yes:16
No:0 		Completely legible:13
Some parts not legible but understandable:2
Completely illegible:1 		Yes:14
No:2 		Yes:14
No:2 		Yes:12
No:4 		Yes:12
No:4 		Yes:3
No:13 		Yes:9
No:7 		Yes:5
No:11 		Not clear who attended to the red flag, No fluids chart in the folder, Pt needed an NGT and a drip to be resited. Must have been discussed with a dr on call., Signing for weekend meds to happen twice. Please put separate issues/tasks in different rows to make signing for them easier., nothing noted on the ngt in the file
12/10/2023 CMH Wards 10 Yes:10
No:0 		Yes:10
No:0 		Completely legible:9
Some parts not legible but understandable:1
Completely illegible:0 		Yes:9
No:1 		Yes:8
No:2 		Yes:4
No:6 		Yes:4
No:6 		Yes:4
No:6 		Yes:1
No:9 		Yes:1
No:9 		Another reason for the redflag was to take bloods, The request was just “CUSP Sunday “
16/08/2023 CMH MOPD 10 Yes:10
No:0 		Yes:10
No:0 		Completely legible:8
Some parts not legible but understandable:2
Completely illegible:0 		Yes:9
No:1 		Yes:8
No:2 		Yes:9
No:1 		Yes:9
No:1 		Yes:5
No:5 		Yes:0
No:10 		Yes:0
No:10 		Weekday entry, Weekday entry, Weekend entry, Weekend entry, Weekend entry, Weekend entry, entry to take bloods and not check blood results, Weekend entry, asked to take blood but not to review, Weekend entry, Weekend entry
20/04/2023 CMH Wards 10 Yes:10
No:0 		Yes:10
No:0 		Completely legible:9
Some parts not legible but understandable:1
Completely illegible:0 		Yes:7
No:3 		Yes:9
No:1 		Yes:9
No:1 		Yes:9
No:1 		Yes:10
No:0 		Yes:10
No:0 		Yes:0
No:10
23/03/2023 CMH Wards 24 Yes:24
No:0 		Yes:24
No:0 		Completely legible:23
Some parts not legible but understandable:1
Completely illegible:0 		Yes:22
No:2 		Yes:19
No:5 		Yes:18
No:6 		Yes:19
No:5 		Yes:11
No:13 		Yes:12
No:12 		Yes:2
No:22 		one flag written for 2 days. fluid check, as befor 1 flag for 2 days, fluid check, one request for 2 days, fluid check, second day for 1 request, fluid check, only states chase results-which results? and no barcode and CLINICAL CONDITION check, 1 flag for 2 days, 1st day noted. fluid check, fluid checks, 2nd day of 1 request, 1 request both days: “FLUID CHECKS at top- does that mean both days? only done for 1., to take CUSP. but also, “fluid checks at top of page, not done on this day”?, to take bloods. INR, daily cusp take, in G3 book for g4 patient. To check CSF results. instruction with., CSF check. instruction with ., NGT check, 1 of 2 requests 1 flag. fluid check. note made in red flag folder that line flushed, bur not in notes., day 2 of requests 1 flag. not signed red flag, but yes in notes., 2 days requests for 1 pt. check results. no instruction., day 2 of request for 1 pt. to take cusp., rest of csf results chase. no instruction., to take bloods. INR. no instruction., csf check., fluid check, not done? entry at bottom of page, two dates, possibly missed?, xray, check cusp, fluid check and adjust K Rx. instruction given,